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Abstract Background and Objective: Communication is an interaction between two persons, in which a message is sent from a source to a receiver to provide an aim. The relationship between nurse and physician is the interaction existed in patient care to access to a common thrauputical goal. One of the main causes of stress in nursing profession is a lack of effective relationship with other health care workers, especially physicians. We decided to survey the professional relationship between nurses and physicians to promote patient care quality. Material and Methods: The subjects of this crossectional study were all 97 nursing staff of three hospitals (Imam Khomeini in Bonab, sina and amiralmomenin in Maragheh).The instrument was a questionnaire composed of two parts of demographic data and professional relationship (22 items) scaled by likert. The data were tabulated in computer and analyzed by SPSS (16 versions). Results: The subjects are both female (86.8%) and male (13.2%). The mean age is 32.5 and record of service is 8.8 years. Seventy-seven percent of subjects are married and (23.3%) are single. Most of them (94.7%) are BSc of nursing and the rest are high school diploma of nursing. The viewpoint of nurses is moderate (80.4%), bad (6.2%) and good (13.4%). Conclusion: The main case of inappropriate interaction is that the physicions don’t try to ask nurses perspectives. When the interaction between nurses and physictions is improved, the level of nursing quality is increased too.

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  Background and Objective : Nursing is an extremely stressful profession. Nurses are confronted with a variety of personal, communicational and organizational stresses, which affect on their health and job satisfaction reversely. The purpose of present study is to determine nurse's job stress in therapeutic-educational centers in Zanjan.

  Material and Methods : In this cross sectional descriptive- analytical study 155 nurses of nursing staff of teaching hospitals of Zanjan were selected by stratified random sampling in 2010. The instruments were a demographic data sheet and Toft-Gray and Anderson's nursing stress scale. The Data were analyzed by SPSS-­14.5 software, using descriptive statistics and Spearman & Pearson correlation coefficient.

  Results: The results show that various occupational conditions lead to tensions, high level (57.4%), moderate (40%) and low intention (2.6 %). Based on Spearman, there is a significant relationship between levels of tension and education status (r= 0.192, P= 0.017). Other variables such as age, sex, ward, marital status, shift working, record of services, overtime and number of children show no significant relationship with occupational stress.

  Conclusion: Regarding to the harmful effect of occupational stress on nursing staff, we recommend that the authorities to consider reducing the stressful factors such as dissatisfaction of salary and premium, job overload, ambiguous roles and lack of social support.